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Multiparametric magnetic resonance imaging (mpMRI) is now widely used to risk stratify men with a suspicion of prostate cancer and identify suspicious regions for biopsy. Advanced MRI techniques have emerged which seek to improve this characterisation and could predict biopsy results non-invasively before men undergo biopsy. Before these techniques are translated clinically, robust histological and clinical validation is required.
This study aims to clinically validate advanced MRI techniques in a cohort of men suspected with prostate cancer. Histological analysis of men undergoing biopsy, +/- prostatectomy will be used for biological validation of VERDICT; Vascular and Extracellular Restricted Diffusion for Cytometry in Tumours and Luminal Water imaging (LWI). In particular, prostatectomy specimens will be processed using 3-D printed patient-specific moulds to allow for accurate MRI and histology mapping.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Men suspected of Prostate Cancer |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| VERDICT MRI | Diagnostic Test | Advanced Diffusion Model |
| |
| Measure | Description | Time Frame |
|---|---|---|
| Diagnostic accuracy of VERDICT MRI | Quantitative assessment of VERDICT MRI reduces false positives by 10% compared to standard MRI alone | 2 years |
| Diagnostic accuracy of Luminal Water Imaging (LWI) | Quantitative assessment of LWI reduces false positives by 10% compared to standard MRI alone | 2 years |
| Measure | Description | Time Frame |
|---|---|---|
| The proportions of true positives with index tests is the same as mpMRI. | 2 years |
| Measure | Description | Time Frame |
|---|---|---|
| Machine learning algorithms can predict histology from MRI. | Number of correct predictions of gleason grade in men who undergo biopsy or prostatectomy. | 3 years |
Inclusion Criteria:
Exclusion Criteria
Participant eligibility is based on self-representation of gender identity. Men with clinical suspicion of prostate cancer.
Cohort of men presenting to our recruitment centre with suspicion of prostate cancer due to raised prostate specific antigen level or suspicious clinical examination.
| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Joey Clemente | Contact | 07886178028 | j.clemente@nhs.net |
| Name | Affiliation | Role |
|---|---|---|
| Shonit Punwani | University College, London | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| University College London Hospital | Recruiting | London | United Kingdom |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 35396316 | Derived | Singh S, Mathew M, Mertzanidou T, Suman S, Clemente J, Retter A, Papoutsaki MV, Smith L, Grussu F, Kasivisvanathan V, Grey A, Dinneen E, Shaw G, Carter M, Patel D, Moore CM, Atkinson D, Panagiotaki E, Haider A, Freeman A, Alexander D, Punwani S. Histo-MRI map study protocol: a prospective cohort study mapping MRI to histology for biomarker validation and prediction of prostate cancer. BMJ Open. 2022 Apr 8;12(4):e059847. doi: 10.1136/bmjopen-2021-059847. |
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| ID | Term |
|---|---|
| D011471 | Prostatic Neoplasms |
| ID | Term |
|---|---|
| D005834 | Genital Neoplasms, Male |
| D014565 | Urogenital Neoplasms |
| D009371 | Neoplasms by Site |
| D009369 | Neoplasms |
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Prostatectomy and biopsy specimens
| Luminal Index Imaging |
| Diagnostic Test |
Advanced T2 mapping |
|
| D005832 |
| Genital Diseases, Male |
| D000091662 | Genital Diseases |
| D000091642 | Urogenital Diseases |
| D011469 | Prostatic Diseases |
| D052801 | Male Urogenital Diseases |